I read with great interest the article by Houston et al.(1). I agree
with the authors that additional research is needed to estimate the
potential childhood exposure to vehicle-related pollution in the child
care microenvironment. As a community health professor in rural Franklin
County, Maine, I would like to see more research on rural child care
facilities, where there is a large volume of diesel truck traffic.
Particulate matter (PM) from diesel truck traffic poses a serious threat
for young children. Exposure to particulate matter has been linked to
increased hospitalization for asthma attacks for children living within
200 meters (218 yards) of roads with heavy truck or trailer traffic (2).
Maine is a mostly rural state, yet has one of the highest percentages of
children with asthma in the country, 13.2% (3). The American Lung
Association’s report: “State of the Air: 2007” assessed several rural
counties in Maine, including neighboring Androscoggin County, which
received a grade of “C” for PM-2.5 (2.5 micrometers or smaller in size)
(4). The most recent data from Franklin County showed that in 1999
Franklin County ranked among “the dirtiest/worst 20% of all counties in
the U.S." in terms of PM-2.5 emissions (5). It should be noted that there
are also many gaps in the data on particle pollution in rural America.
Coarse particulate matter (PM 10-2.5) has not been monitored in rural
towns in the U.S. Furthermore, agriculture has been exempted from meeting
the coarse particulate standard (6).
In the largest town in Franklin County, Farmington, three of the five
licensed child care facilities are located within 200 meters of one of the
most traveled state routes in Maine, State Route 2. In 2006, data from the Maine
Department of Transportation showed an Annual Average Daily Truck Volume
(ADDT) of 15,260 vehicles passing one of the three child care facilities (7).
Vehicle classification data, measured within five miles of the child care
facility, showed that approximately 10% of all vehicles were diesel
trucks, many carrying logs to nearby paper mills (7). As Houston et al.
note, distance-based siting restrictions should be addressed in the
facility licensing process and include rural child care facilities.
Finally, future studies of child care facilities should include noise
pollution from truck traffic since prolonged exposure to diesel truck
traffic in the range of 80 dBA contributes to hearing loss and stress (8).
References
1. Houston D, Ong P, Wu J, Winer A. Proximity of licensed child care
facilities to near-roadway vehicle pollution. Am J Public Health.
2006;96:1611-1617.
2. Lin S, Munsie JP, Hwang SA, Fitzgerald E, Cayo MR. Childhood
asthma hospitalization and residential exposure to state route traffic.
Environ Res. 2002; 88:73-81.
3. Asthma in New England part II: children, a report by the New
England Asthma Regional Council, 2004. Available at: http
://www.mainelung.org/ Topics /asthma_survey _results .asp. Accessed July
1, 2007.
4. The American Lung Association State of the Air: 2007 Maine.
Available at:
http://lungaction.org/reports/SOTA07_stateozone.html?geo_area_id=23.
Accessed July 1, 2007.
5.Scorecard. Pollution Locator: Smog and Particulates: County Report.
Available at http://www.scorecard.org/env-
releases/cap/county.tcl?fips_county_code=23007. Accessed July 5, 2007.
6.Proposed National Ambient Air Quality Standards (NAAQS) for
Particulate Matter—DOCKET ID NUMBER EPA-HQ-OAR-2001-0017. Available at
http://www.psr.org/site/DocServer/PM_Hlth_Grp_Ltr_-_FINAL.pdf?docID=621.
Accessed July 10, 2007.
7. 2006 Maine Transportation Count Book. Available at
http://www.maine.gov/mdot/traffic-counts/2006tc/franklin.pdf.Accessed May
21, 2007.
8.McKenzie, J., Pinger, R. Kotecki, J. (2005). An introduction to
community health (5th ed). Boston: Jones and Bartlett Publishers.